Nokomis, IL · Montgomery County
Application for Vacant Structure Registration Certificate and Statement of Intent
Owners or authorized representatives use this application to register a vacant structure and provide information about the property and plans for its care.
What this form is
This application is for registering a vacant structure and submitting a statement of intent and vacant building plan. It asks for owner and property details, a local contact authorized to address maintenance and emergencies, the vacancy date, and plans for the property's security, upkeep, inspection, and future occupancy or rehabilitation. The form says incomplete applications will not be accepted.
Who needs it
A property owner or a person acting with the owner's direct authority uses this application to register a vacant structure.
How to submit it
The form does not identify a submission department or method. Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; the applicant certifies the information under penalties of law, and the form lists no notarized attachment.
How to submit this form
- 1
Download The Application
Download the Vacant Structure Registration Certificate and Statement of Intent application.
- 2
Complete The Application
Provide owner, property, local contact, vacancy date, and applicant information, then sign and date the form.
- 3
Attach The Vacant Building Plan
Attach a plan with the vacancy period, compliance and property-use timelines, security and maintenance measures, inspection availability, and authorized visitors.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Vacant Structure Registration application for?
- It registers a vacant structure and provides the city with property and contact details, the vacancy date, and a vacant building plan covering care and future use.
- Who can complete this application?
- The form identifies the applicant as the property owner or a person acting with the owner's direct authority in registration, control, and maintenance matters.
- Do I need a notary for the Vacant Structure Registration application?
- No. The applicant signs and dates the form without a notary; the certification is made under penalties of law, and no notarized attachment is listed.
- How do I submit the Vacant Structure Registration application?
- The form does not specify a submission department or method. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Application for Vacant Structure Registration Certificate and Statement of Intent doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.